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. 2019 Jan 31;2019(1):CD009075. doi: 10.1002/14651858.CD009075.pub3

DeFor 2007.

Methods Randomisation
  • 2 arms: structured walking regimen for 30 minutes a day until 100 days post transplant versus standard care


Recruitment period
  • July 2003 to August 2005


Median follow‐up time
  • 100 day posttransplant. Follow‐up measured only for functional impairment (Karnofsky Score)


Sample size calculation
  • Not reported

Participants Eligibility criteria
  • All adults who were able to walk and consented to receive an allogeneic transplant at the University of Minnesota One


Participants (N = 100)
  • Intervention group (N = 51)

  • Control group (N = 49)


Mean age
  • Intervention group: 46 years

  • Control group: 49 years


Stage/type of disease
  • Intervention group: various haematological diseases with diverse stages of disease. Major part: ALL/AML N = 30 (59%)

  • Control group: various haematological diseases with diverse stages of disease. Major part: ALL/AML N = 22 (45%)


Country
  • USA

Interventions Exercise group
  • Twice a day for 15 minutes on a treadmill

  • After discharge, participants were asked to walk once a day for at least 30 minutes. Participants were told to walk at a comfortable speed and to discontinue the workout if they felt any discomfort or dizziness or if the medical staff recommended it.This exercise regimen continued until 100 days posttransplant.


Control group
  • Control group were not asked to perform any formal exercise, and were not provided with a treadmill unless requested by the participant or staff

Outcomes Reported and analysed in this review
  • Overall survival

  • Quality of life

  • Physical performance


Reported but not relevant for this review
  • Physical and emotional well‐being at discharge and 100 days posttransplant

  • Perceived benefit (open‐ended question)

  • Length of hospitalisation

Notes Conflict of interest not reported, funding not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Blinding in this context is not feasible
Blinding of outcome assessor (primary endpoint; mortality) Low risk The review authors judge that the outcome mortality in this unblinded trial is unlikely to be influenced by lack of blinding
Blinding of outcome assessor (patient‐reported outcomes) Unclear risk Outcome not reported
Blinding of outcome assessor (physical performance, AEs, SAEs) Low risk 100‐day assessment was performed in a clinic that was separate from the hospital so the physician was unaware of the randomised assignment
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Not reported
Selective reporting (reporting bias) Unclear risk Protocol not available
Other bias Unclear risk Not reported